Will Running the Numbers First Violate the Principles of Patient-Centered Care?
Authors: Robert C. Sherrick
Journal: Annals of Internal Medicine (2008)

Letters2 December 2008Will Running the Numbers First Violate the Principles of Patient-Centered Care?Robert C. Sherrick, MDRobert C. Sherrick, MDFrom Kalispell Diagnostic Service, Kalispell, MT 59901.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-11-200812020-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their comments on the article by Kerr and colleagues (1) concerning clinical inertia in the treatment of hypertension in patients with diabetes, Phillips and Twombly (2) suggest that “every occurrence of blood pressure above goal should prompt intensification of therapy. … ” This conflicts with the current recommendations of the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (3):Self-monitoring of BP [blood pressure] at home and work is a practical approach to assess differences between office and out-of-office BP prior to consideration of ABPM [ambulatory blood ...References1. Kerr EA, Zikmund-Fisher BJ, Klamerus ML, Subramanian U, Hogan MM, Hofer TP. The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure. Ann Intern Med. 2008;148:717-27. [PMID: 18490685] LinkGoogle Scholar2. Phillips LS, Twombly JG. It's time to overcome clinical inertia [Editorial]. Ann Intern Med. 2008;148:783-5. [PMID: 18490691] LinkGoogle Scholar3. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206-52. [PMID: 14656957] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Kalispell Diagnostic Service, Kalispell, MT 59901.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Role of Clinical Uncertainty in Treatment Decisions for Diabetic Patients with Uncontrolled Blood Pressure Eve A. Kerr , Brian J. Zikmund-Fisher , Mandi L. Klamerus , Usha Subramanian , Mary M. Hogan , and Timothy P. Hofer It's Time to Overcome Clinical Inertia Lawrence S. Phillips and Jennifer G. Twombly Will Running the Numbers First Violate the Principles of Patient-Centered Care? Sam F. Carter Will Running the Numbers First Violate the Principles of Patient-Centered Care? Lawrence S. Phillips and Jennifer G. Twombly Will Running the Numbers First Violate the Principles of Patient-Centered Care? Cynthia M. Boyd and Bruce Leff Will Running the Numbers First Violate the Principles of Patient-Centered Care? Sandeep Vijan , Rodney A. Hayward , and Peter Ubel Metrics Cited ByThe Invisible Homebound: Setting Quality-Of-Care Standards For Home-Based Primary And Palliative Care 2 December 2008Volume 149, Issue 11Page: 839-840KeywordsBlood pressureConflicts of interestDrug therapyHypertensionPrimary hypertensionRunning ePublished: 2 December 2008 Issue Published: 2 December 2008 CopyrightCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...